Individual
MARIA B BARSOUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5278 UNIVERSITY PARKWAY, BRADENTON, FL 34201-0001
(941) 260-3394
Mailing address
115 ROCKLAND HALL, STONY BROOK, NY 11794-0001
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
28249
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/10/2020
Last updated
07/21/2023
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